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Bochdalek hernia: A rare case report of adult age
Yusuf Yagmur1, Ebral Yiğit1, Mehmet Babur1
1Gazi Yasargil Teaching and Research Hospital, Department of surgery, Diyarbakır, Turkey.
Introduction:
Bochdalek hernia is the most common type of congenital diaphragmatic hernia and constitutes 85% of cases. Bochdalek hernia (BH) in adults is extremely rare. We present a BH case in an adult patient and discuss the literature.
Presentation:
22-year-old female patient with abdominal pain, occasional cramps, dysphagic problems, constipation, shortness of breath and choking for about 2 years applied to our clinic.
Diagnosis:
A defect about 5 cm in the left hemidiaphragm posterior area and herniation of intra-abdominal fat plan in the left hemithorax was seen in intravenous and oral whole abdominal CT.
Treatment:
Patient was operated laparoscopically. Transverse colon and a large portion of the omentum entering into hemidiaphragm were pulled in to intraperitoneal area carefully. Approximately 10 × 8 cm intraabdominal mesh was fixed to the defect area with the help of laparoscopic tacker.
Conclusion:
Adult BH is very rare and when confronted laparoscopic treatment with mesh fixation can be performed safely.
